title: [Frequency and mortality by rebleeding in cirrhotic patients treated for bleeding esophagic varices in two hospitals in Lima Peru during years 2009 to 2011].
abstract: During the first 6 weeks after a variceal hemorrhage there is a 30-40% of probability of recurrence and those who rebleed 20- 30% die. Passed this period, the risk of rebleeding is of 60% and reaches a mortality of 60-70% in two years without treatment.
  
  
  OBJECTIVE
  Describe the frequency of rebleeding and mortality due to rebleeding in cirrhotic patients treated for variceal hemorrhage at Endoscopic Centers of Hospital Nacional Cayetano Heredia, Lima, Peru and Hospital Nacional Arzobispo Loayza, Lima, Peru during the years 2009-2011.
  
  
  METHODS
  The study type is a transversal, periodic and retrospective one in which were included 176 cirrhotic patients older than 14 years who have bleed for esophageal varices and that have received endoscopic therapy. The instruments used were a data sheet with all the information obtained from the clinical chart of each patient, the CHILD score to assess severity of hepatic disease, endoscopic informs and phone calls.
  
  
  RESULTS
  The frequency of rebleeding before 6 weeks was 32.20% (56 patients). Also, the frequency of rebleeding after that time was 22.56% (37 patients). There was a mortality rate of 5.70% (10 patients) and a mortality rate due to rebleeding of 13.33% (6 patients).
  
  
  CONCLUSIONS
  Variceal hemorrhage is an important cause of mobimortality in peruvian people. The frequency of rebleeding and mortality due to rebleeding resulted slightly lower than in other countries.
authors.affiliation: Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia. Lima, Perú.
authors.forename: Catherina
authors.initials: C
authors.lastname: Pichilingue Reto
authors.forename: Fiorella Sabrinna
authors.initials: FS
authors.lastname: Queirolo Rodriguez
authors.forename: José Jonathan
authors.initials: JJ
authors.lastname: Ruiz Llenque
authors.forename: Eduar
authors.initials: E
authors.lastname: Bravo Paredes
authors.forename: Patricia
authors.initials: P
authors.lastname: Guzmán Rojas
authors.forename: Roxana
authors.initials: R
authors.lastname: Gallegos López
authors.forename: Manuel Alejandro
authors.initials: MA
authors.lastname: Corzo Maldonado
authors.forename: Mario
authors.initials: M
authors.lastname: Valdivia Roldán
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D004932:Esophageal and Gastric Varices / Q000150:complications*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000453:epidemiology* / Q000209:etiology* / Q000401:mortality; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010568:Peru; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D055815:Young Adult